Active NPI
Larusso DC PA of Wellington
- Chiropractor
- Wellington, FL
National Provider Identifier
1750368593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003139
- Legal business name
- LARUSSO DC PA OF WELLINGTON
- Practice address
- 13860 Wellington Trce
Suite # 13
Wellington, FL 33414-8588 - Phone
- (561) 793-4700
- Fax
- (561) 793-5504
- NPI assigned
- Dec 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Salvatore D Larusso, DC
- Title
- President
- Phone
- (561) 793-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0003139 | FL | Primary |
Addresses
Primary practice location
13860 Wellington Trce
Suite # 13
Wellington, FL 33414-8588
Mailing address
13860 Wellington Trce
Suite # 13
Wellington, FL 33414-8588
Phone (561) 793-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88377A | Other | FL | BLUE CROSS BLUE SHIELD |
| 382188900 | Medicaid | FL | |
| 350055830 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Family Chiropractic Center of Wellington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13860 Wellington Trce
Ste 13
Wellington, FL 33414
Phone (561) 793-4700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Palm Beach, FL
- NPI 1831176684
-
- Chiropractor
- Wellington, FL
- NPI 1477879377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1750368593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13860 WELLINGTON TRCE",
"address_2": "SUITE # 13",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148588",
"telephone_number": "561-793-4700",
"fax_number": "561-793-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13860 WELLINGTON TRCE",
"address_2": "SUITE # 13",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148588",
"telephone_number": "561-793-4700",
"fax_number": "561-793-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARUSSO DC PA OF WELLINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "LARUSSO",
"authorized_official_first_name": "SALVATORE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-793-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88377A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382188900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350055830",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Chiropractic Center of Wellington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.